ShesanRN

Latest Activity

1. Mouth sores caused by Roxinol

   ShesanRN replied to CoffeeRTC's topic in Hospice

   Can you tell us more about what the sore looks like? I've not yet seen that caused by Roxanol, either.

2. Hoping for some professional feedback on a product.

   ShesanRN replied to EllyW's topic in Hospice

   My initial reaction is I'd still prefer to use my own gloved fingers/hand. In some procedures, there is no substitute for the sensory feedback, because of the high perforation risk, as newhospicern indicated. "Current treatment of FI often means inc...

3. GIP regulations

   ShesanRN replied to CapeCodMermaid's topic in Hospice

   We can take move our GIP patients to a snf we are contracted with for that purpose, but most of ours are cared for in the hospital. We either get the referral from the hospital for one of their patients who needs palliation, or one of our current pat...

4. What are keys questions in a interview for Hospice Nurse?

   ShesanRN replied to lumbarpain's topic in Hospice

   I agree - I'm not sure how you could've known not to call 911 not having worked in hospice. That's intuitive for most people. In my agency, we knock, sometimes at an alternative entrance, attempt to call the home/cell of patient/caregiver, then leav...

5. Taking Patients down to the Morgue

   ShesanRN replied to cd365c's topic in Hospice

   Our patients are in multiple settings, and the ones who pass at the hospital (that is our inpatient setting) do get taken to the morgue, although by hospital staff, not me. I wouldn't mind it, though. I've bathed and dressed patients post mortem, of ...

6. How Much Does a Hospice Nurse Make?

   ShesanRN replied to EmilyLucille523's topic in Hospice

   $28/hour x 40 hours salary for weekend on-call RN in the Chicago-Detroit cradle, logging an average of 35 hours/weekend including travel time, all hours of the day and night. There are times when I think "I can't believe I get paid to do this!" and o...

7. Hospice symptom management medication list

   ShesanRN replied to Nursemichellern's topic in Hospice

   Our standard comfort med orders are for sublingual Roxanol, Ativan and atropine drops every 2 hours as needed and Tylenol and phenergan suppositories prn. We adjust and substitute from there with Oxy IR, Xanax, haldol, scopolamine patches, Robinul, c...

8. alternatives to morphine

   ShesanRN replied to rubysasha's topic in Hospice

   I haven't used nebulized Dilaudid, but we routinely get orders for Oxycodone IR 20mg/mL (OxyFast) as a substitute for morphine when there's an allergy/intolerance.

9. Approaching tough subjects with the boss

   ShesanRN replied to Butterflyxx0621's topic in Hospice

   I think your boss' responses to you so far have told you where she stands on the issue. I agree with the above poster, and the fact everyone else is looking for an out is a big red flag. The month I left my last nursing job, they lost 1/4 of their nu...

10. General rant

    ShesanRN replied to Tenebrae's topic in Hospice

    I'm curious, too, as to the details of the situation. Was the patient at home, with family monitoring symptoms? Or was it in a clinical setting? It seems there would be, as others mentioned, more safeguards in place to prevent this scenario, i.e. mor...

11. How to transfer into hospice

    ShesanRN replied to kayleen4246's topic in Hospice

    Your med-surg experience will serve you well, as all the basics like I&Os, ADLs, med management, catheters, wound care, drains and trachs, are all relevant depending on the needs of your individual hospice patients. I agree with the above posters...

12. I want to be a Hospice Nurse

    ShesanRN replied to FrancineRyan's topic in Hospice

    Like vampiregirl, I was introduced to hospice nursing working in LTC. I loved what I was doing there, and began to especially love the extra time, care and attention I was able to give patients and families as the patient's time of passing drew close...

13. LPN Hospice Nurse

    ShesanRN replied to Mahogany Queen's topic in Hospice

    At our hospice (not inpatient), the LPNs conduct patient visits under the supervision of the RN/case manager (they see the RNs patients and report in to them any condition changes/new orders). When they are on call, there is always an RN on call duri...

14. PRN--ON CALL

    ShesanRN replied to RNRN_DAY's topic in Hospice

    This sounds like a bad deal all around. Our PRN nurses do not have to participate in the on-call rotation. When a nurse is on call, they make $2/hour beeper time, then hourly rate + mileage "door to door," from when they leave home to answer a call, ...

15. Care for surviving family

    ShesanRN replied to drem7116's topic in Hospice

    You may also consider contacting the American Cancer Society to see if they have recommendations for your situation/area. Somtimes even being willing to use the word "cancer," is a needed step in caring for a family in this situation. It feels like...